Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code J1438

J1438

Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

Medicaid paid $5.04M on code J1438 from 2018 through 2024, to 18 providers — the #2,546 code in the file by dollars. 87% of it was billed in California.

28Total paid$5.04M
24GClaims11,057
Paid per claim line$456.03
33Providers billing it18
Box 32 · Location

Where J1438 is billed

  1. $4.4M
  2. $187K
  3. $0
  4. $0

The largest of 4 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing J1438

#ProviderLocationClaimsPaid on J1438
1 Acariahealth Pharmacy 13 INC Commerce, CA 1,599 $2.51M
2 California Specialty Pharmacy LLC Whittier, CA 536 $1.15M
3 1295746709 793 $482K
4 Evergreen RX INC Los Angeles, CA 117 $208K
5 Optum Infusion Services 308, LLC Chandler, AZ 4,294 $187K
6 Option Care Enterprises, INC Bakersfield, CA 147 $185K
7 Han Sam Corp Palm Desert, CA 44 $110K
8 Caremark, L.L.C. Redlands, CA 122 $76K
9 Unicare Pharmacy INC Van Nuys, CA 63 $70K
10 Glendale Adventist Medical Center Glendale, CA 14 $39K
11 River City Medical Group, INC. Sacramento, CA 273 $26K
12 1215124797 91 $5K
13 Coram Alternate Site Services, INC. Phoenix, AZ 1,895 $0.00
14 Wilshire Pharmcare, INC. Laguna Hills, CA 13 $0.00
15 1982901195 781 $0.00
16 Center for Arthritis and Osteoporosis I PA Edinburg, TX 78 $0.00
17 1013919240 165 $0.00
18 NY Arthritis PC Brooklyn, NY 32 $0.00